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A hypertension gene: are we there yet?
Samantha J Lupton1, Christine L Chiu, Joanne M Lind
1Unit of Molecular Physiology, School of Medicine, University of Western Sydney, Australia.
Insights
Essential hypertension, a major risk factor for cardiovascular disease, is influenced by genetics. Research shows multiple common genetic variants, not single gene polymorphisms, contribute to high blood pressure risk.
Area of Science:
- Cardiovascular research
- Genetics
- Pharmacogenomics
Background:
- Cardiovascular diseases are the leading global cause of mortality.
- Essential hypertension is a significant risk factor for cardiovascular diseases.
- Genetic factors contribute substantially to blood pressure variability.
Purpose of the Study:
- To review candidate gene and genome-wide association studies in hypertension research.
- To understand the genetic basis of essential hypertension.
- To explore the potential of pharmacogenomics in personalized hypertension treatment.
Main Methods:
- Review of candidate gene association studies.
- Analysis of genome-wide association studies (GWAS).
- Exploration of genetic polymorphisms related to blood pressure regulation.
Main Results:
- Identified numerous polymorphisms increasing hypertension risk.
- Evidence suggests polygenic inheritance for hypertension.
- No single gene polymorphism universally causes hypertension.
Conclusions:
- Hypertension results from the cumulative effect of common genetic variants.
- Personalized pharmacogenomic approaches offer promise for effective hypertension management.
- Tailored treatments can reduce cardiovascular events and societal disease burden.
Abstract:
Cardiovascular diseases are the leading cause of death worldwide. Essential hypertension is a major risk factor for the development of other cardiovascular diseases and is caused by a combination of environmental and genetic factors, with up to 50% of blood pressure variance currently attributed to an individual's genetic makeup. By studying genes that cause monogenic forms of hypertension and pathways relevant to blood pressure control, a number of polymorphisms have been identified that increase an individual's risk of developing high blood pressure. We report on candidate gene association studies and genome-wide association studies that have been performed to date in the field of hypertension research. It is becoming clear that for the majority of people there is no single gene polymorphism that causes hypertension, but rather a number of common genetic variants, each having a small effect. Using pharmacogenomics to personalize the treatment of hypertension holds promise for achieving and sustaining normotensive pressures quickly, while minimizing the risk of adverse reactions and unwanted side-effects. This will decrease the risk of stroke and myocardial infarction in individuals and lead to a reduced burden of disease upon society as a whole.
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